MEDICARE: GABRIELA FENOLLAL MALDONADO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	2020017927	MO
2	2084P0804X	Child & Adolescent Psychiatry Physician	ME175256	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZKQ4X	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598324600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELA FENOLLAL MALDONADO

Provider Business Mailing Address
First Line	:	PO BOX 917770
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32891-0001
Country	:	US
Telephone Number	:	813-821-8038
Fax Number	:

Provider Business Practice Location Address
First Line	:	1303 W KENNEDY BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-1848
Country	:	US
Telephone Number	:	813-821-8038
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2019
Last Update Date	:	11/15/2025

Similar Medicare Providers

1326502014 — FAWADULHAQ GILLANI
Practice Location Address:

1303 W KENNEDY BLVD
TAMPA, FL
33606-1848

Practice Phone: 813-821-8038
Practice Fax:

1346700051 — AMIE BETH GERODIMOS DO
Practice Location Address:

1303 W KENNEDY BLVD
TAMPA, FL
33606-1848

Practice Phone: 813-893-6330
Practice Fax:

1205412806 — DR. KYRA-ANNE JHENELL FORREST MD
Practice Location Address:

1303 W KENNEDY BLVD
TAMPA, FL
33606-1848

Practice Phone: 813-821-8038
Practice Fax:

1346908068 — TAMPA REHABILITATION HOSPITAL, LLC
Practice Location Address:

1307 W KENNEDY BLVD
TAMPA, FL
33606-1848

Practice Phone: 813-893-6000
Practice Fax: 813-893-6111

1205569233 — TRANSITIONAL PAIN & SPECIALTY GROUP
Practice Location Address:

1307 W KENNEDY BLVD
TAMPA, FL
33606-1848

Practice Phone: 813-495-5567
Practice Fax:

1316775372 — TAMPA BEHAVIORAL HOSPITAL LLC
Practice Location Address:

1303 W KENNEDY BLVD
TAMPA, FL
33606-1848

Practice Phone: 615-920-7000
Practice Fax:

Directions to “ GABRIELA FENOLLAL MALDONADO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.